DR. PETER EDWARD FONG


Address: 106 Allen St, Cumming, GA 30040-2602
Phone: 7065498114

DR. PETER EDWARD FONG (NPI# 1154312312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154312312
Entity Type Individual
Full Name DR. PETER EDWARD FONG
Credential M.D.
Practice Address 106 Allen St
Cumming
GA 30040-2602
Mailing Address Po Box 80883
Athens
GA 30608-0883
Practice Telephone 7065498114
Practice Fax Number 7065490151
Mailing Telephone 7065498114
Mailing Fax Number 7065490151
Enumeration Date 2005-11-04
Last Update Date 2014-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LA0401X Anesthesiology
Specialization: Addiction Medicine
56467 GA Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
056467 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 644068458U 05
GA 644068458T 05
GA 644068458V 05
GA 644068458X 05
GA 644068458Y 05
GA 644068458W 05

Other Providers PETER FONG

NPI Name Taxonomy Address Enumeration
1598169534 Peter Fong Dentist 2 Civic Center Dr., #4429, San Rafael, CA 94913-4429 2014-10-20
1821627514 Peter Fong Student in an Organized Health Care Education/Training Program 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 2020-04-03
1023352689 Peter Fong Optometrist 11310 Beach Channel Dr, Rockaway Park, NY 11694-2209 2012-11-20
1215217781 Peter S Fong Pharmacist 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 2011-08-27
1073791265 Peter Fong Pharmacist 11110 Flatlands Ave, Brooklyn, NY 11207-8234 2008-02-10

Office Location

Street Address 106 ALLEN ST
City CUMMING
State GA
Zip Code 30040-2602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326241563 Nazario Villasenor Jr. Anesthesiology 106 Allen St, Cumming, GA 30040-2602 2007-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427684729 Am Nollenberger Counseling Counselor 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 2020-03-18
1497388904 Ben Allen Sanders Pharmacist Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 2020-02-13
1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336706316 Mary Kathleen Hesidence Nurse Practitioner 81 Northside Dr, #100, Dawsonville, GA 30040 2019-05-24
1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
1306339841 Fukuzato Eyecare, Inc Optometrist 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 2018-06-09
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891302998 Apollo Spine and Pain Center Pain Medicine 4415 Front Nine Dr, Cumming, GA 30041-6063 2020-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235756792 Interventional Spine and Pain Management Center, PC Pain Medicine 2100 Central Ave Ste 6, Augusta, GA 30904-6709 2020-07-01
1902433147 Sun Pain Institute LLC Pain Medicine 836 E 65th St Ste 38, Savannah, GA 31405-4495 2020-03-26
1679107338 Atlanta Interventional Pain Management, LLC Pain Medicine 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 2020-03-02
1578193355 Regenerative Spine and Pain Specialists Pain Medicine 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 2020-01-22
1437790839 Specialty Spine and Pain, PC Pain Medicine 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 2019-10-07
1154962165 Specialty Spine and Pain, PC Pain Medicine 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 2019-10-01
1659912665 Specialty Spine and Pain, PC Pain Medicine 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 2019-10-01
1114578515 Interventional Spine and Pain Management Center, PC Pain Medicine 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 2019-09-26
1477106771 Spine Center of Southeast Georgia LLC Pain Medicine 52a Lindsey Lane, Kingsland, GA 31548-6855 2019-07-17
1467014936 Interventional Spine and Pain Management Center, PC Pain Medicine 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 2019-07-03
Find all providers with the same taxonomy

Competitor

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City CUMMING
Zip Code 30040

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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